Medication error propagation in intensive care units

Pascale Carayon; Feng Ju; Randi Cartmill; Peter Hoonakker; Tosha B. Wetterneck; Jingshan Li

doi:10.1177/1541931215591111

Medication error propagation in intensive care units

Pascale Carayon
, Feng Ju
, Randi Cartmill
, Peter Hoonakker
, Tosha B. Wetterneck
, Jingshan Li

Research output: Chapters, Conference Papers, Creative and Literary Works › RGC 32 - Refereed conference paper (with host publication) › peer-review

6 Citations (Scopus)

Abstract

We examined propagation of medication errors at various stages of the medication management process (ordering, transcription, preparation, dispensing, administration and monitoring) in two ICUs of a medical center. We performed a secondary analysis of 1,732 medication events identified in a group of 630 ICU patients. A Markov Chain model showed that errors propagate throughout the medication management process, in particular between the stages of preparation, dispensing and administration. Copyright 2015 Human Factors and Ergonomics Society.

Original language	English
Title of host publication	2015 International Annual Meeting of the Human Factors and Ergonomics Society, HFES 2015
Publisher	Human Factors and Ergonomics Society Inc.
Pages	518-521
Volume	2015-January
ISBN (Print)	9780945289470
DOIs	https://doi.org/10.1177/1541931215591111
Publication status	Published - 2015
Externally published	Yes
Event	59th International Annual Meeting of the Human Factors and Ergonomics Society, HFES 2015 - Los Angeles, United States Duration: 26 Oct 2015 → 30 Oct 2015

Publication series

Name	Proceedings of the Human Factors and Ergonomics Society
Volume	2015-January
ISSN (Print)	1071-1813

Conference

Conference	59th International Annual Meeting of the Human Factors and Ergonomics Society, HFES 2015
Place	United States
City	Los Angeles
Period	26/10/15 → 30/10/15

Bibliographical note

Publication details (e.g. title, author(s), publication statuses and dates) are captured on an “AS IS” and “AS AVAILABLE” basis at the time of record harvesting from the data source. Suggestions for further amendments or supplementary information can be sent to [email protected].

Funding

This research was made possible by funding from the Agency for Healthcare Research and Quality (AHRQ). Grant Number: R01 HS15274. Principal Investigator: Pascale Carayon, PhD. This publication was also supported by the Clinical and Translational Science Award (CTSA) program, previously through the National Center for Research Resources (NCRR) grant 1UL1RR025011, and now by the National Center for Advancing Translational Sciences (NCATS), grant 9U54TR000021.

Access Output

10.1177/1541931215591111

Other Access Options

Check CityUHK Library

Permanent Link

Right click to copy link

Cite this

Carayon, P., Ju, F., Cartmill, R., Hoonakker, P., Wetterneck, T. B., & Li, J. (2015). Medication error propagation in intensive care units. In 2015 International Annual Meeting of the Human Factors and Ergonomics Society, HFES 2015 (Vol. 2015-January, pp. 518-521). (Proceedings of the Human Factors and Ergonomics Society; Vol. 2015-January). Human Factors and Ergonomics Society Inc.. https://doi.org/10.1177/1541931215591111

@inproceedings{3fb300e926e949e398e60f4b2b1ee851,

title = "Medication error propagation in intensive care units",

abstract = "We examined propagation of medication errors at various stages of the medication management process (ordering, transcription, preparation, dispensing, administration and monitoring) in two ICUs of a medical center. We performed a secondary analysis of 1,732 medication events identified in a group of 630 ICU patients. A Markov Chain model showed that errors propagate throughout the medication management process, in particular between the stages of preparation, dispensing and administration. Copyright 2015 Human Factors and Ergonomics Society.",

author = "Pascale Carayon and Feng Ju and Randi Cartmill and Peter Hoonakker and Wetterneck, \{Tosha B.\} and Jingshan Li",

note = "Publication details (e.g. title, author(s), publication statuses and dates) are captured on an “AS IS” and “AS AVAILABLE” basis at the time of record harvesting from the data source. Suggestions for further amendments or supplementary information can be sent to [email protected].; 59th International Annual Meeting of the Human Factors and Ergonomics Society, HFES 2015 ; Conference date: 26-10-2015 Through 30-10-2015",

year = "2015",

doi = "10.1177/1541931215591111",

language = "English",

isbn = "9780945289470",

volume = "2015-January",

series = "Proceedings of the Human Factors and Ergonomics Society",

publisher = "Human Factors and Ergonomics Society Inc.",

pages = "518--521",

booktitle = "2015 International Annual Meeting of the Human Factors and Ergonomics Society, HFES 2015",

}

Carayon, P, Ju, F, Cartmill, R, Hoonakker, P, Wetterneck, TB & Li, J 2015, Medication error propagation in intensive care units. in 2015 International Annual Meeting of the Human Factors and Ergonomics Society, HFES 2015. vol. 2015-January, Proceedings of the Human Factors and Ergonomics Society, vol. 2015-January, Human Factors and Ergonomics Society Inc., pp. 518-521, 59th International Annual Meeting of the Human Factors and Ergonomics Society, HFES 2015, Los Angeles, United States, 26/10/15. https://doi.org/10.1177/1541931215591111

Medication error propagation in intensive care units. / Carayon, Pascale; Ju, Feng; Cartmill, Randi et al.
2015 International Annual Meeting of the Human Factors and Ergonomics Society, HFES 2015. Vol. 2015-January Human Factors and Ergonomics Society Inc., 2015. p. 518-521 (Proceedings of the Human Factors and Ergonomics Society; Vol. 2015-January).

Research output: Chapters, Conference Papers, Creative and Literary Works › RGC 32 - Refereed conference paper (with host publication) › peer-review

TY - GEN

T1 - Medication error propagation in intensive care units

AU - Carayon, Pascale

AU - Ju, Feng

AU - Cartmill, Randi

AU - Hoonakker, Peter

AU - Wetterneck, Tosha B.

AU - Li, Jingshan

N1 - Publication details (e.g. title, author(s), publication statuses and dates) are captured on an “AS IS” and “AS AVAILABLE” basis at the time of record harvesting from the data source. Suggestions for further amendments or supplementary information can be sent to [email protected].

PY - 2015

Y1 - 2015

N2 - We examined propagation of medication errors at various stages of the medication management process (ordering, transcription, preparation, dispensing, administration and monitoring) in two ICUs of a medical center. We performed a secondary analysis of 1,732 medication events identified in a group of 630 ICU patients. A Markov Chain model showed that errors propagate throughout the medication management process, in particular between the stages of preparation, dispensing and administration. Copyright 2015 Human Factors and Ergonomics Society.

AB - We examined propagation of medication errors at various stages of the medication management process (ordering, transcription, preparation, dispensing, administration and monitoring) in two ICUs of a medical center. We performed a secondary analysis of 1,732 medication events identified in a group of 630 ICU patients. A Markov Chain model showed that errors propagate throughout the medication management process, in particular between the stages of preparation, dispensing and administration. Copyright 2015 Human Factors and Ergonomics Society.

UR - https://www.scopus.com/pages/publications/84981747724

UR - https://www.scopus.com/record/pubmetrics.uri?eid=2-s2.0-84981747724&origin=recordpage

U2 - 10.1177/1541931215591111

DO - 10.1177/1541931215591111

M3 - RGC 32 - Refereed conference paper (with host publication)

SN - 9780945289470

VL - 2015-January

T3 - Proceedings of the Human Factors and Ergonomics Society

SP - 518

EP - 521

BT - 2015 International Annual Meeting of the Human Factors and Ergonomics Society, HFES 2015

PB - Human Factors and Ergonomics Society Inc.

T2 - 59th International Annual Meeting of the Human Factors and Ergonomics Society, HFES 2015

Y2 - 26 October 2015 through 30 October 2015

ER -

Carayon P, Ju F, Cartmill R, Hoonakker P, Wetterneck TB, Li J. Medication error propagation in intensive care units. In 2015 International Annual Meeting of the Human Factors and Ergonomics Society, HFES 2015. Vol. 2015-January. Human Factors and Ergonomics Society Inc. 2015. p. 518-521. (Proceedings of the Human Factors and Ergonomics Society). doi: 10.1177/1541931215591111

Medication error propagation in intensive care units

Abstract

Publication series

Conference

Bibliographical note

Funding

Access Output

Other Access Options

Permanent Link

Other Files and Links

Fingerprint

Cite this